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BROULIM SUPERMARKETS, LLC

Organization (NPI-2) Active

Pharmacy, Community/Retail Pharmacy

Provider Information

NPI Number
1851854095
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
3160 E 17TH ST STE 164, AMMON, ID, 834066784
Phone
(208) 529-1795
Fax
(833) 887-9908

Specialties & Taxonomies

Clinic/Center, Primary Care
Pharmacy
Pharmacy, Clinic Pharmacy
Pharmacy, Community/Retail Pharmacy Primary

All Addresses

MAILING

160 S CLARK ST

RIGBY, ID, 834421407

(208) 745-9201

LOCATION

3160 E 17TH ST STE 164

AMMON, ID, 834066784

(208) 529-1795